NPI | 1265192678 |
---|---|
Former Name | BEATRICE MARIE PIERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95018886) |
Enumeration Date | 2021-12-27 |
Last Update Date | 2021-12-27 |